COrpus Christi Catholic Church

Building the Body of Christ

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Maintenance Request

- The maximum number of form submissions has been reached. This form is currently not available.
  
  Please use this form to let our Maintenance staff know of a maintenance issue that needs to be resolved.
  
  Please enter your name, phone number and email address. Also, please enter today's date.
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Date REQUIRED Please fill out this field. Please enter a date.
  
  What area / room needs maintenance? REQUIRED Please fill out this field.
  
  What is the description of the work (max 200 characters) REQUIRED Please fill out this field.
  
  Thank you for letting us know of a problem. We will let you know when the work has been completed. Please be sure to click on 'submit' to submit your request.
  
  Submit
  
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